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Supplemental Budget One-Time Dollar (1X$) REQUEST FORM <br /> TO: Budget Office DATE: 5/2/2008 <br /> Department: Public Works <br /> Executive Manager Signature: <br /> I <br /> 1. Description of 1X$ Request/Justification: (attach additional pages as needed) <br /> Please include the source of funds supporting the request and the specific project which requires <br /> com letion. ex: Re uest 1X$ from uns ent resources to im lement new technolo that will incur <br /> P ( q P p gY <br /> 'i longer term savings of $x per year.) <br /> I This request would increase appropriation to allow completion of the Autzen Path Lighting Project in <br /> advance of the Olympic Trials, funded by a payment received from UO <br /> 2. Fiscal Information <br /> <br /> ~l .Fund: 311 Amount of 1X$ Request: $40;000 <br /> i <br /> FTE Impact: 0 Revenues Offset: $ 40,000 <br /> Net Request: $ 0 <br /> Revenue Object Code(s) 311-9335-43990 Expenditure Object Code(s) 311-9335-61735-985442 <br /> If Grant involved: Grant Number Fiscal Year Grant Received <br /> Original GrantAmount: $ <br /> Balance. Remaining; (as of ) <br /> - - - <br /> 3. Has a purchase order been issued on this request? Yes x No <br /> - - <br /> If yes, Prior or Current Year purchase order? Current Year <br /> If prior year, has purchase order been included in the Reserve for Encumbrances? If not, please <br /> explain. <br /> 4. Attach a prepared, signed BJE. 6 5 <br /> _ _ _ _ <br /> <br />